Department of Labor’s Presentation to the

NIOSH Advisory Board

Frank C. Crawford

Division of Energy Employees

Occupational Illness Compensation Program

April 2023
Compensation Paid

$7.7 Billion

Part B Compensation

$6.3 Billion

Part E Compensation

$9 Billion

Medical Bills

$23 Billion

Total Compensation + Medical Bills Paid

230,401

Cases Filed

Data as of March 31, 2023

2
Compensation

NIOSH Related (SEC & DR) Cases

$1.7 Billion Paid Dose Reconstruction Cases

16,157 Payees 

$188 Million approved SEC and POC 50% or greater cases*

1,438 Payees

*Refers to all cases accepted based on SEC status and POC 50% or greater. At least one 

specified cancer was approved based on SEC employment and at least one other cancer 

was approved based on the DR process resulting in a POC of 50% or greater. 

Data as of March 31, 2023 3
NIOSH Referral Case Status 

 56,902 Cases Referred to NIOSH for Dose Reconstruction

 55,201 Cases Returned to DOL from NIOSH 

• 48,359 at DOL with Dose Reconstruction 

• 6,842 withdrawn from NIOSH with no Dose 

Reconstruction

 1,701 Cases Currently at NIOSH

Data as of March 31, 2023 4
Part B Cases with Dose Reconstruction 

and Final Decision 

38,063 Cases with Dose 

Reconstruction and Final 

Decision

Final Approvals

12,963

Final Denials

25,001

66% Final 

Denials

34% Final

Approvals

Data as of March 31, 2023 5
Part B Cases Filed

Other

38%

NIOSH

30%

SEC Cases Never 

Sent to NIOSH

13%

SEC Cases 

Referred to 

NIOSH 12%

RECA

7%

*Other (beryllium sensitivity, chronic beryllium disease, chronic silicosis)

Data as of March 31, 2023 6
Part B Cases with Final Decision

Cases with Part B Final 

Decision

112,075

Part B Approvals

60,366

Part B Denials 

51,709

46% 

Denials

54% 

Approvals

Part B Final Decisions

Data as of March 31, 2023 7
Top Four Worksites

The top 4 worksites generating new Part B EEOICPA cases

(January 1, 2023- March 31, 2023)

Nevada Test Site

Savannah River Site

Hanford

Y-12 Plant

8
SEC Facility (1 of 2)

Statistical

Category 

Savannah River Site

Cases (Claims) 

Part B & E 21,997 (30,476)

Cases Returned by 

NIOSH with dose 

reconstruction

6,596

Final Decisions 

(Part B) 9,202

Data as of April 3, 2023 9
SEC Facility (2 of 2)

Statistical

Category 

Savannah River Site

Part B Approvals 

(Cases) 4,133

Part E Approvals (Cases) 5,318

Total Comp. & Medical 

Bills Paid $1,964,157,240

Data as of April 3, 2023 10
JOTG Outreach 

Oak Ridge, TN 

April 11-April 13, 2023

• April 11 - April 12

o AR Workshop

• April 13 

o DEEOIC Presentation 

o Medical Benefits Presentations

o JOTG Presentations 

o Claims Examiner/Medical Benefits Examiner

• One-on-one meetings after presentations 

11
JOTG Outreach

Pasco, Washington

May 16, 2023

• May 16

o DEEOIC Presentation 

o Medical Benefits Presentations 

o JOTG Presentations 

o Claims Examiner/Medical Benefits

Examiner

• One-on-one meetings after presentations 

12
JOTG Outreach

New Mexico & Arizona

June 27, 2023 – June 29, 2023

• June 27, 2023 Farmington, NM

• June 28, 2023 Shiprock, NM

• June 29, 2023 Kayenta, AZ

o DEEOIC Presentation

o Medical Benefits Presentations

o JOTG Presentations

o Claims Examiner/Medical Benefits Examiner

• One-on-one meetings after presentations 

13
Previous Outreach Events

DEEOIC Virtual Webinar Series

• Upcoming Changes to Pharmacy Benefits 

– March 2023

– 246 Attendees

• Exposure and Causation Presumptions

– February 2023

– 288 Attendees

• Authorized Representative Services and Expectations

– January 202

– 214 Attendees

• New Billing Authorization Codes for Home and Residential 

Health Care

– November 2022

– 233 Attendees

Presentations available on the DOL’s Outreach website:

https://www.dol.gov/agencies/owcp/energy/regs/compliance/Outreach/Outreach_Presentation 14
Previous Outreach Events

JOTG Town Hall

• Las Vegas, Nevada

– March 2023

– 175 Attendees

• Pahrump, Nevada

– February 2023

– 25 Attendees

Presentations available on the DOL’s Outreach website:

https://www.dol.gov/agencies/owcp/energy/regs/compliance/Outreach/Outreach_Presentation

15
Department of Labor’s 

Presentation to the NIOSH 

Advisory Board

Handout Slides

April 2023
Employee Eligibility

Employed By Part B Part E

DOE Contractors and 

Subcontractors Yes Yes

DOE Federal Employees Yes No

AWE Employees Yes No

Beryllium Vendors Yes No

RECA Yes Yes

17
Covered Conditions

Condition Part B Part E

CBD Yes Yes

Beryllium Sensitivity Medical 

Monitoring 

Only

Yes

Chronic Silicosis Yes Yes

Cancer Yes Yes

Any condition related to toxic 

exposure

No Yes

18
Survivor Definition

Type Part B Part E

Spouse at time of death Yes Yes

Children - under age 18; 

under age 23 if full-time 

student; or any age if 

medically incapable of selfsupport

Yes Yes

Adult Children Yes No

19
Benefits

Part B Part E

$150,000 Employee + 

Survivor

Impairment $2,500 per % 

(Employee)

$50,000 RECA Employee + 

Survivor

Wage Loss $10,000-$15,000 per 

year (Employee)

N/A $125,000 Survivor

$400,000 CAP for B+E 

combined

Combined Amount $400,000

20